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Journal of Hand Surgery (British and European Volume)
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Articles

Outcome of Surgical Treatment for Forearm Pronation Deformities in Children with Obstetric Brachial Plexus Injuries

F. J. LIGGIO
S. THAM
A. PRICE
L. E. RAMOS
E. MULLOY
J. A. I. GROSSMAN

From the Division of Pediatric Orthopedics, St Luke’s-Roosevelt Hospital Center, New York, the Peripheral Nerve Surgery Unit, Miami Children’s Hospital, Miami, USA

Correspondence: J. A. I. Grossman MD FACS, 8940 N. Kendall Drive. Suite 904E, Miami, FL 33176, USA.

Seven children were operated on for pronation contractures of the forearm due to obstetric brachial plexus injuries. All underwent extensive preoperative evaluations to determine the extent of injury, secondary deformities, and capacity to perform a few basic tasks. Sequential video studies were used to document these findings. Operative procedures performed included various combinations of tendon/muscle lengthenings and/or transfers. Postoperative evaluations focused on function rather than gains in active range of motion and the patient/parental assessment of the benefit of the procedure by response to a questionnaire. All patients were followed for a minimum of 1 year following surgery. The average gain in active supination was 45°. Each patient showed significant functional gains with a high degree of satisfaction.

Journal of Hand Surgery (British and European Volume), Vol. 24, No. 1, 43-45 (1999)
DOI: 10.1016/S0266-7681(99)90023-2
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This article has been cited by other articles:


Home page
 J Bone Joint Surg BrHome page
A. Amrani, M. A. Dendane, and Z. F. El Alami
Pronator teres transfer to correct pronation deformity of the forearm after an obstetrical brachial plexus injury
J Bone Joint Surg Br, May 1, 2009; 91-B(5): 616 - 618.
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